Functional loss and postural changes resulted of severity and time of evolution of cervical dystonia: an observational study.
Bibliographic record
Abstract
Question.Can the level of severity of cervical dystonia (CD) and the time course of this disease influence daily activities performance and postural pattern?What is the postural pattern of patients with cervical dystonia?Design: Cross-sectional, descriptive and retrospective study.Participants: sixty nine patients who had undergone clinical treatment of cervical dystonia.Interventions: Participants were assessed once, while they came for a medical appointment.Outcomes measures: Clinical data were collected from medical records, level of severity and repercussions of dystonia were assessed by Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), daily activities were evaluated by Functional Independence Measure (FIM) and postural measures were taken by postural Analysis Software (SAPO ).Results: The longer the disease progresses, the greater the inability to feed, dress, climb stairs, move downstairs and walk (p<0,0001).The higher level of severity and impact of CD, the larger angles between acromions, ears and acromions, among acromions and iliac spines and between ears and iliac spines and less independence was observed (p<0,0001).However, the severity was lower in younger subjects, although the pain and repetitive motion impacts the performance of activities of daily living.Conclusion: The time course and severity of the disease can influence on daily activity and on postural characteristics of these patients.Their postural pattern is characterized by the great discrepancy between the head and the trunk, which could be accentuated by the longer time course of dystonia.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".